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Thread: Podiatry

  1. #1

    Default Podiatry

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    Help! Dr. does a debridement on both feet. CPT code 11721 with modifier-59? Or does 11721 already say it's for 2 feet?

    Thanks for any help!

    CORRECTION: 11721 and 11055 when both are done on the same day, modifier -59 is used as per the CCI edits.

    Thanks to all who answered and chimed in! Greatly appreciated.
    Last edited by codelady; 07-16-2009 at 02:39 PM. Reason: corrected on the cpt codes

  2. #2


    The code, itself, indicates both feet.
    ~Ursula, CPC~

  3. #3


    In the past, the biller coded it with mod-59 and it was paid. But the correct way is by itself with no modifier?

  4. #4


    Well, it may need the -59 modifier depending on what other services are performed (if the combination is listed on the NCCI edits)

    But, if it's the only 'procedure' being performed - you don't need the -59. You may also need a Q modifier, if the LCD indicates that the systemic condition needs it.
    ~Ursula, CPC~

  5. #5


    I've been looking for the CCI edits on mcr website and the lcd coverage, but cannot find it. I worked with it before but can't remember.

    Sorry about all the questions, but you have been very helpful and it's greatly appreciated.


  6. #6
    Join Date
    Apr 2007
    High Point, NC


    Here are a few links on the MCR website for Podiatry Services and Routine Footcare. These are very helpful.


    Hope it helps!
    Cindy Gallimore, CPC, CENTC

  7. #7


    And the CCI edits can be found at:

    ~Ursula, CPC~

  8. #8
    Join Date
    Apr 2007
    Flint, Michigan


    I work for 3 podiatrists and I've never used a mod -59 with 11721.

  9. #9
    Join Date
    Apr 2007
    Wichita, KS


    Using a 59 modifier would be correct to show that the 11721 was a distinct procedural service from a different procedure. I believe you are mistaking the 59 modifier with the 50 modifier for bilateral procedure. Now if your podiatrist is only debriding 1 to 5 nails then procedure 11720 then.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

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